Existing regional referral centers of excellence should be equipped and supported to ensure state of the art care of injured children. Medical care: Pediatricians, surgeons, and emergency medicine and pediatric intensive care subspecialists should consult private and public sector entities to support the implementation of prompt rescue and evacuation protocols for injured children and access to safe medical centers capable of caring for them across age and injury spectra. 6 In addition, according to the UN, nonstate actors in Yemen and Syria, working with outside states, restricted access to humanitarian care and demanded payments from fleeing civilians, among other human right abuses. Among the 1454 child casualties in Syria, 35% were from airstrikes. 6 In 2019, Syrian and Russian forces targeted civilian populations, with air attacks on medical and other civilian facilities over an area the size of Luxembourg in Idlib, terrorizing civilians. 15 In 2019, 12% of the 1447 child casualties in Yemen were from airstrikes. 15 Subsequently, a school bus with >40 children was bombed. Yet, the US government curtailed training in precision targeting for coalition pilots flying over Yemen.
In 2015, among 1953 casualties in children reported by the UN in Yemen, 60% were due to airstrikes 2 with armament manufactured by the United States, United Kingdom, and other allies. Indiscriminate use of arms, lack of accountability, and deliberate targeting of civilian populated areas increase risks to children.
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